<li id="page_CONTACTS">
<div class="slogan">contacts</div>
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<div class="">

<div class="col11">

<h2>Contact Form</h2>

<div id="note">
</div>
<div id="fields">
<form id="ajax-contact-form" action="javascript:alert('success!');">
<div class="clear">
</div>
<label>Your full name:</label>
<INPUT class="textbox left " type="text" name="name" value="">
<div class="clear">
</div>
<label >E-Mail:</label>
<INPUT class="textbox left" type="text" name="email" value="">
<div class="clear">
</div>
<label >Phone Number:</label>
<INPUT class="textbox left" type="text" name="phone" value="">
<div class="clear">
</div>
<label >Message:</label>
<TEXTAREA class="textbox left" NAME="content" ROWS="5" COLS="25"></TEXTAREA>
<div class="clear">
</div>
<label>Captcha:</label>
<img src="captcha/captcha.php" style="margin:3px 0px; width:100px; height:32px; float:left;">
<INPUT class="textbox" type="text" name="capthca" value="" style=" width:90px; float:left; margin-left:10px; margin-top:2px">
<div class="clear">
</div>
<INPUT class="pin" type="submit" name="submit" value="submit">
</form>
</div>




</div>
<div class="col12 pad_left5">

<h2>Our Location</h2>

<div class="gmap border1 border2 radius1">

    <iframe width="460" height="200" frameborder="0" scrolling="no" marginheight="0" marginwidth="0" src=""></iframe>

</div>



<span><a href="">View Larger Map</a></span>

    <br><br>

<strong>
The Companyname Inc
</strong>
<p class="text">
8901 Marmora Road,<br>
Glasgow, D04 89GR.<br>
Telephone: +1 800 123 1234<br>
E-mail: <a href="#">mail@copanyname.com</a>
</p>









</div>
<div class="clear"></div>
</div>
</div>
</li>